Hantavirus Disease Case Report Form [2016]

Details

• Corporate Authors:
  National Center for Emerging and Zoonotic Infectious Diseases (U.S.). Division of High-Consequence Pathogens and Pathology. Viral Special Pathogens Branch
• Description:
  NOTICE:This 2016 is now out of date. Please use the updated 2025 form available on the CDC Hantavirus Case Definition and Reporting webpage at: https://www.cdc.gov/hantavirus/php/surveillance/index.html
  
  Or direct download the form here: https://www.cdc.gov/hantavirus/media/pdfs/2025/06/357437-A_FRM_NCEZID_Hantavirus_CRF_508pass.pdf
  
  IdentificationHantavirus Disease Case Report Form. Please return to: Centers for Disease Control and Prevention, Viral Special Pathogens Branch. Ph: (404) 639-1510 Fax: (404) 639-3163 Email: spath_er@cdc.govSite: http://www.cdc.gov/hantavirus/health-care-workers/specimen-submission/index.html
  
  Form Approved OMB No. 0920-0009.
  
  
• Subjects:
  Communicable Diseases Disease Notification Hantavirus Infections Hantavirus Pulmonary Syndrome / Epidemiology Orthohantavirus Public Health Surveillance Zoonoses
• Keywords:
  Hantavirus
• Publisher:
  Centers for Disease Control and Prevention (CDC) (U.S.)
• Document Type:
  Text
• Genre:
  Forms
• Place as Subject:
  United States
• Rights:
  Public Domain
• CIO:
  National Center for Emerging and Zoonotic Infectious Diseases (NCEZID)
• Division:
  DHCPP - Division of High-Consequence Pathogens and Pathology
• Topic:
  Diseases & Conditions
• Location:
  North America
• Pages in Document:
  1 pdf page
• Collection(s):
  Infectious Diseases
• Main Document Checksum:
  urn:sha-512:c51703dacc5b662b1b3b2cd15ae44acf15a99c1d71b86bd8051ccc9c57fafccbea11423dc2f97d41561c7421b7de3f4d10043dba51e253d9a10b1c4e66c3bbcc
• Download URL:
  https://stacks.cdc.gov/view/cdc/46560/cdc_46560_DS1.pdf
• File Type:
  [PDF - 164.99 KB ]